We report an accidental intra-arterial injection of phenytoin in a 43-year-old woman undergoing ventriculoperitoneal shunt for hydrocephalus” Khan and Faghihnassiri (2016).
Abstract:
We report an accidental intra-arterial injection of phenytoin in a 43-year-old woman undergoing ventriculoperitoneal shunt for hydrocephalus. To flush the arterial line with heparin, mistakenly phenytoin was injected which caused cutaneous gangrene along the radial side of the forearm and an absence of pulsation in the radial artery.
[ctt tweet=”ReTweet if useful… Accidental intra-arterial injection of phenytoin http://ctt.ec/oWP43+ @ivteam #ivteam” coverup=”oWP43+”]
After flushing the artery with normal saline and lidocaine, the patient was transferred to the Intensive Care Unit. There the patient was put on intravenous heparin that resolved the problem leading to complete recovery of the patient. The case is being reported to emphasize the importance of close surveillance in injecting drugs through the arterial line access.
[button link=”http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4916823/” color=”default”]Full Text[/button]
Reference:
Khan, Z.H. and Faghihnassiri, S. (2016) An accidental intra-arterial injection of phenytoin in a 43-year-old woman. Saudi Journal of Anaesthesia. 10(3):342-4.
doi: 10.4103/1658-354X.174916.
Thank you to our partners for supporting IVTEAM
[slideshow_deploy id=’23788’]